1. Which nursing intervention is most a. Lying prone with a pillow on the
helpful in relieving postpartum uter- abdomen
ine contractions or "afterpains?" Lying prone (A) keeps the fundus
a. Lying prone with a pillow on the contracted and is especially useful
abdomen with multiparas, who commonly expe-
b. Using a breast pump rience afterpains due to lack of uter-
c. Massaging the abdomen ine tone.
d. Giving oxytocic medications
2. A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells A vaginal exam (A) should be per-
the nurse that her bag of water formed after the rupture of mem-
has broken. The nurse identifies the branes to determine the presence of
presence of meconium fluid on the a prolapsed cord.
perineum and determines the fetal
heart rate is between 140 to 150
beats/minute. What action should
the nurse implement next?
a. Complete a sterile vaginal exam
b. Take maternal temperature every
2 hours
c. Prepare for an immediate cesare-
an birth
d. Obtain sterile suction equipment
3. When explaining "postpartum a. Mood swings
blues" to a client who is 1 day post- c. Tearfulness
partum, which symptoms "Postpartum blues" is a common
should the nurse include in the emotional response related to the
teaching plan? (Select all that ap- rapid decrease in
ply.) placental hormones after delivery and
a. Mood swings include mood swings (A), tearfulness
b. Panic attacks (C), feeling
c. Tearfulness low, emotional, and fatigued
d. Decreased need for sleep
e. Disinterest in the infant
4. A client at 30-weeks gestation, com- c. Obtain a specimen for urine analy-
plaining of pressure over the pu- sis
, 2024 HESI MATERNITY OB EXAM VERSION 5
bic area, is admitted for observa- Obtaining a urine analysis (C) should
tion. She is contracting irregularly be done first because preterm clients
and demonstrates underlying uter- with uterine irritability and contrac-
ine irritability. Vaginal examination tions are often suffering from a uri-
reveals that her cervix is closed, nary tract infection, and this should be
thick, and high. Based on these data, ruled out first
which intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count
(CBC) drawn
c. Obtain a specimen for urine analy-
sis
d. Place the client on strict bedrest
5. A client in active labor complains of b. Extend the leg and dorsiflex the foot
cramps in her leg. What intervention Dorsiflexing the foot by pushing the
should the nurse implement? sole of the foot forward or by stand-
a. Ask the client if she takes a daily ing (if the client is capable) (B) and
calcium tablet putting the heel of the foot on the
b. Extend the leg and dorsiflex the floor is the best means of relieving leg
foot cramps.
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
6. The nurse is caring for a woman a. edema, basilar rales, and an irreg-
with a previously diagnosed heart ular pulse
disease who is in the second stage Edema, basilar rales, and an irregular
of labor. Which assessment findings pulse (A) indicate cardiac decompen-
are of greatest concern? sation and require immediate inter-
a. edema, basilar rales, and an irreg- vention.
ular pulse
b. Increased urinary output, and
tachycardia
c. Shortness of breath, bradycardia,
and hypertension
d. Regular heart rate, and hyperten-
sion
, 2024 HESI MATERNITY OB EXAM VERSION 5
7. The nurse is teaching a woman how a. Between the time the temperature
to use her basal body temperature falls and rises
(BBT) pattern as a tool to assist her In most women, the BBT drops slight-
in conceiving a child. Which tem- ly 24 to 36 hours before ovulation and
perature pattern indicates the occur- rises 24 to 72 hours after ovulation,
rence of ovulation, and there for, the when the corpus luteum of the rup-
best time for intercourse to ensure tured ovary produces progesterone.
conception? Therefore, intercourse between the
a. Between the time the temperature time of the temperature fall and rise
falls and rises (A) is the best time for conception
b. Between 36 and 48 hours after the
temperature rises
c. When the temperature falls and
remains low for 36 hours
d. Within 72 hours before the temper-
ature falls
8. A client who is in the second d. It is important that you want to take
trimester of pregnancy tells the part in your care
nurse that she wants to use herbal The emphasis of alternative and com-
therapy. Which response is best for plementary therapies, such as herbal
the nurse to provide? therapy, is that the client is viewed
a. Herbs are a corner stone of good as a whole being, capable of deci-
health to include in your treatment sion-making and an integral part of
b. Touch is also therapeutic in reliev- the health care team, so (D) recog-
ing discomfort and anxiety nizes the client's request
c. Your healthcare provider should
direct treatment options for herbal
therapy
d. It is important that you want to
take part in your care
9. A mother who is breastfeeding her c. Correctly place the infant on the
baby receives instructions from the breast
nurse. Which The most common cause of nipple
instruction is most effective to pre- soreness is incorrect positioning (C)
vent nipple soreness? of the infant on the breast, e.g., grasp-
a. Wear a cotton bra ing too little of the areola or grasping
b. Increase nursing time gradually on the nipple
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